Next Generation NCLEX (NGN) Endocrine
EAQ Case Study 2026/2027 | Study Guide
& Practice Test
Endocrine - Patient 1
H&P
1400 (admission):
21-year-old client; driver in motor vehicle accident. No known allergies. No
medical history. Loss of consciousness for 5 minutes at scene with amnesia.
Ecchymosis to chest wall and lower abdomen secondary to seat belt. Neurologic
assessment and abdominal assessments are negative. No lacerations. Abrasion to
left and center forehead.
Medications: Oral contraceptives
NURSES' NOTES
1400 (admission):
Received 21-year-old driver involved in motor vehicle accident via ambulance to
emergency department (ED). Client lost control of vehicle due to wet road
conditions. Vehicle rolled two times down steep embankment prior to landing
upside down; emergency medical service (EMS) extracted client from vehicle.
Ecchymosis to chest wall secondary to seatbelt. Loss of consciousness for
,approximately 5 minutes with residual amnesia. Does not remember the accident.
Denies headache; asking - correct answer-LABORATORY RESULTS
Laboratory Test
Reference Range
Day 1
Admission
Day 2
0800
Hematocrit
Male: 40%-54%
Female: 36%-46%
43%
52%
Hemoglobin
Male: 13.5-17 g/dL
Female: 12-15 g/dL
14 g/dL
19 g/dL
Serum osmolality
280-300 mOsm/kg
290 mOsm/kg
322 mOsm/kg
Red blood cell (RBC) count
Male: 4.6-6.0 x106/µL
Female: 4.0-5.0 x106/µL
, 5.0 x106/µL
7.0 x106/µL
White blood cell (WBC) count
4500-10,000/µL
5000/µL
9000/µL
Platelet count
150,000-400,000/ µL
200,000/µL
Partial thromboplastin time (PTT)
60-70 seconds
60 seconds
Prothrombin time (PT)
11-15 seconds
12 seconds
Sodium (Na+)
135-145 mEq/L
140 mEq/L
152 mEq/L
Potassium
3.5-5.0 mEq/L
EAQ Case Study 2026/2027 | Study Guide
& Practice Test
Endocrine - Patient 1
H&P
1400 (admission):
21-year-old client; driver in motor vehicle accident. No known allergies. No
medical history. Loss of consciousness for 5 minutes at scene with amnesia.
Ecchymosis to chest wall and lower abdomen secondary to seat belt. Neurologic
assessment and abdominal assessments are negative. No lacerations. Abrasion to
left and center forehead.
Medications: Oral contraceptives
NURSES' NOTES
1400 (admission):
Received 21-year-old driver involved in motor vehicle accident via ambulance to
emergency department (ED). Client lost control of vehicle due to wet road
conditions. Vehicle rolled two times down steep embankment prior to landing
upside down; emergency medical service (EMS) extracted client from vehicle.
Ecchymosis to chest wall secondary to seatbelt. Loss of consciousness for
,approximately 5 minutes with residual amnesia. Does not remember the accident.
Denies headache; asking - correct answer-LABORATORY RESULTS
Laboratory Test
Reference Range
Day 1
Admission
Day 2
0800
Hematocrit
Male: 40%-54%
Female: 36%-46%
43%
52%
Hemoglobin
Male: 13.5-17 g/dL
Female: 12-15 g/dL
14 g/dL
19 g/dL
Serum osmolality
280-300 mOsm/kg
290 mOsm/kg
322 mOsm/kg
Red blood cell (RBC) count
Male: 4.6-6.0 x106/µL
Female: 4.0-5.0 x106/µL
, 5.0 x106/µL
7.0 x106/µL
White blood cell (WBC) count
4500-10,000/µL
5000/µL
9000/µL
Platelet count
150,000-400,000/ µL
200,000/µL
Partial thromboplastin time (PTT)
60-70 seconds
60 seconds
Prothrombin time (PT)
11-15 seconds
12 seconds
Sodium (Na+)
135-145 mEq/L
140 mEq/L
152 mEq/L
Potassium
3.5-5.0 mEq/L
